Jefferson, Bethaniel

Jefferson, Bethaniel is an sole proprietor health care provider with primary practice located at 15531 Kuykendahl Rd 180, Houston TX 77090-3645. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Jefferson, Bethaniel can be contacted via phone (281) 895-7787.

Contact Information

Primary practice address
15531 Kuykendahl Rd 180 Houston TX 77090-3645
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21310 Texas

Profile Details

NPI number 1447240825
LBN Legal business name Jefferson, Bethaniel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2005
Last updated Dec 3rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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